# RICHBORO FAMILY DENTISTRY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dr Glenn Miller and Dr Donald Tedrow
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508921644
- **Authorized official:** DR. DONALD G TEDROW DMD (OWNER PARTNER)
- **Authorized official phone:** (215) 322-0440

## Contact information

- **Practice address:** 130 ALMSHOUSE ROAD, SUITE NUMBER 500, RICHBORO, PA 18954
- **Practice address phone:** (215) 322-0440
- **Practice address fax:** (215) 322-3941
- **Mailing address:** 130 ALMSHOUSE ROAD, SUITE NUMBER 500, RICHBORO, PA 18954
- **Mailing address phone:** (215) 322-0440
- **Mailing address fax:** (215) 322-3941

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DS022913L | PA | Yes |
| 1223G0001X | General Practice Dentistry | DS023139L | PA | — |

## Other

- **Enumeration date:** 12/27/2006
- **Last updated:** 08/22/2020